DARIC J RUSSELL


Address: 3385 Potomac Way, Idaho Falls, ID 83404-4978
Phone: 2085227246

DARIC J RUSSELL (NPI# 1154681633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154681633
Entity Type Individual
Full Name DARIC J RUSSELL
Credential DO
Practice Address 3385 Potomac Way
Idaho Falls
ID 83404-4978
Practice Telephone 2085227246
Practice Fax Number 2085292620
Mailing Telephone 2085227246
Mailing Fax Number 2085292620
Enumeration Date 2012-05-18
Last Update Date 2020-01-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
0-1036 ID Allopathic & Osteopathic Physicians

Office Location

Street Address 3385 POTOMAC WAY
City IDAHO FALLS
State ID
Zip Code 83404-4978

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174766448 Rick G Goldman Social Worker 3385 Potomac Way, Idaho Falls, ID 83404-4978 2009-04-15
1770891848 Nikki Lyn Berrett Social Worker 3385 Potomac Way, Idaho Falls, ID 83404 2010-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1942863600 Muhammad Arslan Khan Student in an Organized Health Care Education/Training Program 2860 Channing Way Suite 214, Idaho Falls, ID 83404 2019-04-18
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
1235682121 Mountain Falls Quick Care Clinic/Center 1995 E 17th St #1, Idaho Falls, ID 83404 2016-07-27
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1992070809 Pain Specialists of Idaho Anesthesiology 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 2012-03-12
1669785192 Wind River Pain Management Pllc Anesthesiology 1975 Martha Ave, Suite B, Idaho Falls, ID 83404-7580 2010-07-26
1578760518 Bmh, Inc. Anesthesiology 2375 E Sunnyside Rd, Idaho Falls, ID 83404-8280 2007-07-02
1588778708 Holly Zoe Anesthesiology 2060 S Woodruff Ave, Idaho Falls, ID 83404-6396 2006-08-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114171519 Advanced Pain Management Pllc Anesthesiology 2275 So Eagle Rd, Sute 160, Meridian, ID 83642 2008-11-11
1427232925 Nathan E. Sneddon Anesthesiology 98 Poplar St Fl 3, Blackfoot, ID 83221 2007-12-20
1235472531 Eli J Harris Anesthesiology 4424 E Flamingo, Ste 310, Nampa, ID 83687 2013-04-04
1801143029 Teton Valley Health Care, Inc Anesthesiology 83 N Main St, Victor, ID 83455-0368 2012-08-07
1629227616 Prashanth Sirigere Manjunath Anesthesiology 98 Poplar St, Blackfoot, ID 83221-1758 2008-09-15
1366622300 Cornerstone Anesthesia Pa Anesthesiology 2841 Juniper Dr, Lewiston, ID 83501-4719 2007-11-07
1649460130 Bmh, Inc. Anesthesiology 98 Poplar St, Blackfoot, ID 83221-1758 2007-07-31
1255539193 Bmh, Inc. Anesthesiology 98 Poplar St, Blackfoot, ID 83221-1758 2007-07-03
1881897932 Ryan Don Hope Anesthesiology 2240 E Center St, Pocatello, ID 83201 2007-06-07
1275746646 Gary D Call Anesthesiology 98 Poplar St, Blackfoot, ID 83221-1758 2007-05-08
Find all providers with the same taxonomy

Competitor

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City IDAHO FALLS
Zip Code 83404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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